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Related Experiment Video

Updated: Jun 5, 2026

A Two-interval Forced-choice Task for Multisensory Comparisons
07:13

A Two-interval Forced-choice Task for Multisensory Comparisons

Published on: November 9, 2018

Relationship between encounter time and candidate performance on COMLEX-USA Level 2-PE.

Jeanne M Sandella1, William L Roberts, Erik E Langenau

  • 1National Board of Osteopathic Medical Examiners, 101 W Elm St, Suite 150, Conshohocken, PA 19428-2004, USA. jsandella@nbome.org

The Journal of the American Osteopathic Association
|January 25, 2011
PubMed
Summary

Exam time with standardized patients did not significantly impact osteopathic medical licensing exam performance. The duration of encounters, averaging 12.1 minutes, was sufficient for the Comprehensive Osteopathic Medical Licensing Examination-USA Level 2-Performance Evaluation (COMLEX-USA Level 2-PE).

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RBDT: A Computerized Task System based in Transposition for the Continuous Analysis of Relational Behavior Dynamics in Humans

Published on: July 17, 2021

Area of Science:

  • Medical Education
  • Clinical Skills Assessment
  • Osteopathic Medicine

Background:

  • Standardized timing is crucial for the Comprehensive Osteopathic Medical Licensing Examination-USA Level 2-Performance Evaluation (COMLEX-USA Level 2-PE) to ensure validity.
  • Deviations in time administered could potentially affect student performance and compromise examination standardization.

Purpose of the Study:

  • To determine the relationship between the time osteopathic medical candidates spend with standardized patients (SPs) and their performance on clinical skill components.
  • To assess if encounter duration influences overall pass rates and scores within specific domains of the COMLEX-USA Level 2-PE.

Main Methods:

  • Analysis of data from 249 candidates across 21 test sessions during the 2007-2008 testing cycle.
  • Trained SPs meticulously recorded the entry and exit times for each candidate's encounter.
  • Statistical analysis, including ANOVA and pairwise comparisons, was employed to compare encounter times and their correlation with various performance outcomes.

Main Results:

  • A total of 2988 SP encounters were analyzed, with an average duration of 12.1 minutes per encounter.
  • Encounter time showed a negligible correlation with overall clinical skill outcomes (r=.03) and domain-specific performance (humanistic: r=-.10; biomedical/biomechanical: r=.12).
  • The strongest correlation observed was between encounter time and the data-gathering component score (r=.28).

Conclusions:

  • The time candidates spent during patient encounters did not significantly influence their overall performance on the COMLEX-USA Level 2-PE.
  • Candidates allocated similar amounts of time across different case content areas, suggesting the 14-minute timeframe is adequate for this high-stakes evaluation.